Program Management Lead Analyst - Cigna Healthcare - Remote
Cigna•20h ago
United StatesRemote$77.5K–$129.1KFull-timeMid Level3+ yrs exp
H-1B sponsor
Top focus
Program ManagerManagement Consultant
- Summary: Make a meaningful impact at the intersection of clinical insight and client innovation. As a Program Management Lead Analyst, you will play a critical role supporting our Client Growth & Innovations (CGI) Clinicians by transforming complex clinical and claims data into clear, actionable insights. Your work helps strengthen provider partnerships, supports client decision-making
- advances our commitment to better health outcomes, affordability
- experience. Responsibilities:
- Deliver timely, high-quality clinical and claims insights that enable CG&I Clinicians to support clients and broker engagements.
- Analyze, investigate, and summarize high-cost claim data, including TC131 and TC56 reports, to inform Total Health Insight deliverables and external clinician meetings.
- Conduct comprehensive clinical summary reviews for high-cost claimants in alignment with established clinical and corporate guidelines.
- Interpret medical records and claims data to identify trends, risks, and opportunities that support strategic recommendations.
- Synthesize findings into clear, executive-ready summaries for Market Medical Executives and Nurse Executives.
- Lead or contribute to small- to mid-sized projects focused on improving processes, quality, and efficiency.
- Partner effectively across a matrixed organization, building trust and momentum in a fast-paced, evolving environment.
- Apply a working knowledge of core clinical programs, products, and systems (e.g., ICMS, CCMS, HEV, OneView, TruCare) to support business outcomes. Required Qualifications
- 3+ years of clinical or clinical support experience.
- Strong analytical and research skills with the ability to interpret complex clinical and claims information.
- Experience reviewing medical records and summarizing clinical findings.
- Effective written and verbal communication skills, with the ability to convey insights clearly to diverse stakeholders.
- Strong organizational and time management skills, with comfort managing multiple priorities. Preferred Qualifications:
- 5+ years of clinical or related healthcare experience.
- Experience with CPT and ICD-10 coding.
- Proficiency in Microsoft Office and healthcare technology platforms.
- Demonstrated ability to influence, collaborate
- drive outcomes across cross-functional teams. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 77,500 - 129,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental
- well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays
- leaves of absence. For more details on our employee benefits programs, click here . About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont
- Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Required skills
clinical analysisclaims data analysisCPT codingICD-10 codingMicrosoft Officehealthcare technology platforms